Bottom Line:
She had no upper gastrointestinal symptoms, and therefore did not undergo preoperative oesophagogastroduodenoscopy (OGD).During surgery, a hiatus hernia and an incidental oesophageal leiomyoma were found and treated with hernia repair and enucleation.The end outcome was unaffected.

Mentions:
Histopathological analysis of the lesion, including immunohistochemical profiling, revealed a well-circumscribed nodular tumour composed of smooth muscle cells with eosinophilic cytoplasm and spindle-shaped nuclei. The cells were arranged in interlacing fascicles with evidence of perinuclear vacuoles using haematoxylin and eosin staining. There was no evidence of necrosis, mitosis or significant nuclear pleomorphism. The specimen was negative for CD117 staining, hence excluding the possibility of a gastrointestinal stromal tumour. It was also negative for S100. However, stain was positive for smooth muscle actin (SMA) and desmin, which confirmed that specimen was of muscular origin. The histology therefore identified the lesion as a leiomyoma (Figs 2–6).Figure 2:

Mentions:
Histopathological analysis of the lesion, including immunohistochemical profiling, revealed a well-circumscribed nodular tumour composed of smooth muscle cells with eosinophilic cytoplasm and spindle-shaped nuclei. The cells were arranged in interlacing fascicles with evidence of perinuclear vacuoles using haematoxylin and eosin staining. There was no evidence of necrosis, mitosis or significant nuclear pleomorphism. The specimen was negative for CD117 staining, hence excluding the possibility of a gastrointestinal stromal tumour. It was also negative for S100. However, stain was positive for smooth muscle actin (SMA) and desmin, which confirmed that specimen was of muscular origin. The histology therefore identified the lesion as a leiomyoma (Figs 2–6).Figure 2:

Bottom Line:
She had no upper gastrointestinal symptoms, and therefore did not undergo preoperative oesophagogastroduodenoscopy (OGD).During surgery, a hiatus hernia and an incidental oesophageal leiomyoma were found and treated with hernia repair and enucleation.The end outcome was unaffected.